Purpose: We sought to establish views on wait times and hypothesized that they may vary depending upon perspective, circumstance, and incontinence type.
Design: Cross-sectional, descriptive survey.
Subjects And Setting: Eligible patients were inpatients, 65 years and older, in a single tertiary acute care hospital. Eligible staff were regulated (licensed) and unregulated providers of direct care to patients. Patients may or may not have used absorbent continence products prior to their admission.
Methods: We examined views on acceptable and actual wait times of elderly acute care inpatients and their direct care providers (DCPs). Participants were asked about wait times for pads soiled with urine or feces during the day and at night. Differences between patients and DCPs and acceptable and actual wait times were compared. Factors associated with tolerance to the presence of urine or stool in absorptive products were analyzed by logistic regression.
Results: There was patient-provider mismatch for daytime urinary incontinence: 90% of patients but only 44% of DCPs reported urinary soiling more than 1 hour in the daytime as unacceptable (38.0 vs 85.0 minutes; P < .0001). A significant majority (80%-90%) of both groups reported short acceptable wait times for fecal incontinence (<15 minutes). The odds of being tolerant to any soiling were significantly higher in patients who were prior residents of care facilities (odds ratio [OR] = 6.2; 95% confidence interval [CI], 1.3-28.1; P = .019), previously used incontinence products (OR = 2.0; 95% CI, 1.0-3.8; P = .036), or used walking aids (OR = 4.0; 95% CI, 1.1-14.7; P = .039). Actual wait times were significantly longer than deemed acceptable by either patients or DCPs.
Conclusions: There are significant gaps in patient-provider perspectives on acceptable wait times in soiled incontinence products. Direct care providers need to take patient preference into account when managing continence.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/WON.0000000000000369 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Use of the structured emergency nursing framework HIRAID® improves patient experience: A stepped-wedge cluster randomised control trial in rural, regional and metropolitan Australia.
Intensive Crit Care Nurs
January 2025
Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery Camperdown NSW Australia; Western Sydney Local Health District, North Parramatta, NSW 2141, Australia. Electronic address:
Background: Emergency departments have high levels of uncertainty, long wait times, resource shortages, overcrowding and a constantly changing environment. Patient experience and patient safety are directly linked, yet levels of patient experience are stagnant. To improve emergency nursing care and patient experience, an emergency nursing framework HIRAID® (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, communication, and reassessment) was implemented in 29 Australian emergency departments.
View Article and Find Full Text PDFThe Impact of Surgery Delay on Early-Stage Ovarian Cancer.
Life (Basel)
January 2025
1st Department of Obstetrics & Gynecology, Aristotle University of Thessaloniki, "Papageorgiou" Hospital, 564 29 Thessaloniki, Greece.
(1) Background: Suspicious adnexal masses should be referred to gynecological oncology units. However, when surgery waiting lists are prolonged, these patients usually suffer from a delay in surgery. This could have a negative impact on their prognosis when the final diagnosis is ovarian cancer (OC).
View Article and Find Full Text PDFA Case Report of a Mixed-Methods Assessment of Patient Experiences to Inform Quality Improvement in an Emergency Department in Argentina.
Int J Health Plann Manage
January 2025
Emergency Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
The objective of this paper is to explore how an emergency department in Argentina collected patient experience perspectives using varied tools to inform improvement activities. A case report of a mixed-methods assessment of patient experiences to inform quality improvement in an Emergency Department in Argentina. This study was conducted from July 2022 to December 2023 at Hospital Italiano de Buenos Aires, Argentina.
View Article and Find Full Text PDFBuilding a Genomics-Informed Nursing Workforce: Recommendations for Oncology Nursing Practice and Beyond.
Curr Oncol
December 2024
Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4, Canada.
Background: Genomics is a foundational element of precision health and can be used to identify inherited cancers, cancer related risks, therapeutic decisions, and to address health disparities. However, there are structural barriers across the cancer care continuum, including an underprepared nursing workforce, long wait times for service, and inadequate policy infrastructure that limit equitable access to the benefits of genomic discoveries. These barriers have persisted for decades, yet they are modifiable.
View Article and Find Full Text PDFThe effect of waiting time on ovarian cancer survival in oncology centres, Addis Ababa, Ethiopia: a retrospective cohort study.
BMC Womens Health
January 2025
School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Background: Ovarian cancer is a leading cause of mortality worldwide. The third most prevalent gynecological cancer globally, following cervical and uterine cancer, and the third leading cause of cancer-related mortality among women in Sub-Saharan Africa, including Ethiopia. The time ovarian cancer patients have to wait between diagnosis and initiation of treatment are the indicators of quality in cancer care and influence patient outcomes.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!